KENNETH LYLE MARTIN

TIGARD, OR
NPI1902875016
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  10582)
Enumeration Date2006-03-14
Last Update Date2011-02-14
Business Address
Dr. KENNETH LYLE MARTIN M.D.
15298 SW ROYALTY PKWY
TIGARD, OR 97224-3904
Phone number: 503-620-0721
Mailing Address
Dr. KENNETH LYLE MARTIN M.D.
15298 SW ROYALTY PKWY
TIGARD, OR 97224-3904
Phone number: 503-620-0721
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